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General NPI Number Information
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NPI Number | 1558427518
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Entity Type | Individual
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Provider Name | JULIE BOSSENBERRY AU.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 190 MAIN ST
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City | EAST HAVEN
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State | CT
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Zip | 06512
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Country | US
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Telephone | 203-466-3823
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Fax | 203-466-3823
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Provider Business Mailing Address
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Address Line | 140 BROAD ST
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City | MILFORD
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State | CT
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Zip | 06460
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Country | US
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Telephone | 203-876-2266
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Fax | 203-882-9640
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 000174
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License Number State | CT
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